Individual
DR. TIMOTHY O WALTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 CLAY EDWARDS DR, KANSAS CITY, MO 64116-3220
(816) 691-5201
(816) 346-7063
Mailing address
PO BOX 419380 - DEPT 128, KANSAS CITY, MO 64141-6380
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2005010786
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2005010786
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114084522
—
MO
05
—
200270670B
—
KS
01
—
38347013
BCBSKC
MO
01
—
9499055
AETNA
MO
01
—
P00397045
RR MEDICARE
MO
Enumeration date
01/03/2007
Last updated
11/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us